Iom PL Personal History Form

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INTERNATIONAL ORGANIZATION FOR MIGRATION

17, Route des Morillons


P.O. Box 71
If you are applying for a specific CH - 1211 GENEVA 19
Vacancy Notice, please quote SWITZERLAND
relevant position title and vacancy
number:
Applications
must be filed in one of IOM's
official languages or local
PERSONAL ATTACH
PHOTOGRAPH
language (English, French or
Spanish). Applications in other HISTORY HERE
languages may be rejected. Make
sure you complete all pages of the
personal history form.

1. A) Surname First Name Middle Name Maiden Name, if any

B) List any other names used


C) Father's name
2. A) Permanent Address B) Telephone No.

3. A) Present Residence (Specify City, Province or State, Country) B) Since (date) Until (anticipated date) C) Telephone No.

D) E-mail address (personal) E) Mobile Telephone

4. A) Place of Birth B) Date of Birth C) Citizenship at Birth D) Present Citizenship


(If Swiss, canton and origin)

E) Passport or Identity Card No. Date of Issue/Date of Expiry Place of Issue (in full)

5. Sex (Check) 6. Marital Status (Check)

Male |__| Female |__| Single |___| Married |__| Widow(er) |__| Divorced |__ Separated |__|

7. Type of engagement preference 8. For what kind of work do you wish to be considered for?

Full Time |__| Part Time |__|

9. Would you accept short term employment? 10. In the event of your selection, how much notice would you need before appointment?

Yes |__| No |__|

11. Have you any depedents? Yes |___| No |___| If answer is "Yes" give following information:

Name Age Relationship Name Age Relationship

12. LANGUAGES
(List mother tongue first)
READ WRITE SPEAK
Language
Excellent Good Poor Excellent Good Poor Excellent Good Poor

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13. EDUCATION: Give full details, using the following space in so far as it is appropriate of schools or other formal training or education from age 14 (e.g. high
school, technical school, apprenticeship, university or its equivalent):

Years attended Certificates, diplomas, degrees or


Name and Place Type
From To academic distinctions obtained

B) List any special skills you possess and machines and


14. A) Indicate speed in words per minute (if applicable)
equipment you can use
Other Languages
English French Spanish
Shorthand
Typing

15. List all organizations with which you are or have been affiliated. This list is to include all affiliations, whether social, professional, fraternal, etc.

16. List activities in civic, public or international affairs and name any significant publications you have written.

17. A) Are you willing to accept a post requiring travel?

B) Would you accept an emergency field assignment at short notice?

18. Have you any objections to our making inquiries of your present employer? Yes |___| No |___|
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19. EMPLOYMENT RECORD : Starting with your present occupation, list in reverse order each activity in which you have been engaged, accounting
fully for your time. List military service and any period of unemployment of more than six months' duration. Use a separate block for each
period and additional sheets if necessary.
Present or most recent occupation Description of duties and responsibilities
Dates Annual emoluments:
From To
(month/year) (month/year) Salary

Allowances

Total
Business or organization (name and address, including city)

Title of your post or Name of Supervisor


occupation

Number and kind of employees supervised by you

Personal address during this period

Reason for leaving

Dates Total annual emoluments: Description of duties and responsibilities


From To
(month/year) (month/year)

Business or organization (name and address, including city)

Title of your post or Name of Supervisor


occupation

Number and kind of employees supervised by you

Personal address during this period

Reason for leaving

Dates Total annual emoluments: Description of duties and responsibilities


From To
(month/year) (month/year)

Business or organization (name and address, including city)

Title of your post or Name of Supervisor


occupation

Number and kind of employees supervised by you

Personal address during this period

Reason for leaving

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17. EMPLOYMENT RECORD : Starting with your present occupation, list in reverse order each activity in which you have been engaged, accounting
fully for your time. List military service and any period of unemployment of more than six months' duration. Use

Present or most recent occupation Description of duties and responsibilities


Dates Annual emoluments:
From To
(month/year) (month/year) Salary

Allowances

Total
Business or organization (name and address, including city)

Title of your post or Name of Supervisor


occupation

Number and kind of employees supervised by you

Personal address during this period

Reason for leaving

Dates Total annual emoluments: Description of duties and responsibilities


From To
(month/year) (month/year)

Business or organization (name and address, including city)

Title of your post or Name of Supervisor


occupation

Number and kind of employees supervised by you

Personal address during this period

Reason for leaving

Dates Total annual emoluments: Description of duties and responsibilities


From To
(month/year) (month/year)

Business or organization (name and address, including city)

Title of your post or Name of Supervisor


occupation

Number and kind of employees supervised by you

Personal address during this period

Reason for leaving

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20. References: List three persons not related to you who are familiar with your character and qualifications. They must be current or previous supervisors
only.
Name in full Contact Details: Email Address and Phone no. Position Title, Organization/ Affiliation

21. (a) Have you ever been arrested, indicted or summoned into court as a defendant in a criminal proceeding, or convicted, fined or imprisoned or placed
on probation in connection with such a proceeding, or have you ever been arrested or required to deposit bail or collateral for the violation of any law or
regulation, civil or military (excluding traffic violations)? (Appointment is subject to security clearance requirements.)

Answer ''Yes'' or ''No''


(b) If your answer is ''Yes'' under item 21 (a) above, attach separate sheet giving details of all arrests and fines other than minor traffic violations. Specify
charge, date, place where arrested, and disposition.
22. Have disciplanary measures, including dismissal or separation from service, ever been imposted on your for (allegations of) fraudulent, collusive,
coercive, obstructive or unethical practices, misconduct, harassment, sexual harassment, abuse of authority, sexual exploitation or sexual abuse, retaliation, or
poor or inadequate performance? Have you resigned while under investigation or during disciplinary proceedings? Are you subject to an ongoing
investigation?

Answer ''Yes'' or ''No''


(b) If your answer is ''Yes'' under item 20 (a) above, attach separate sheet giving details.
23. Do you have any relatives currently working for IOM? Do any of your relatives work for a donor, vendor, government, third party contractor or any
other organization associated with IOM and is engaged with IOM in any capacity? (Definition of relatives: father, mother, son, daughter, brother, sister,
step-father, step-mother, step-son, step-daughter, step-brother, stepsister, aunt, uncle, nephew, niece, cousin, father-in-law, mother-in-law, brother-in-law,
sister-in-law, son-in-law, daughter-in-law, grandparents, grandchildren, Spouses (which includes partners and unmarried relationships, cohabitation
arrangements))

Answer ''Yes'' or ''No''


(b) If your answer is ''Yes'' under item 23 (a) above, please indicate name of relative(s), position, organization, location, and nature of relationship.

24. State any other relevant facts. Include information regarding any residence or prolonged travel abroad, give dates, areas, purpose, etc. State any
significant experience which you believe will serve in the evaluation of your record.

25. State any disabilities which might limit the performance of your work.
(Appointment is subject to compliance with medical requirements.)

Having answered every question above, I, the undersigned, declare that the information contained in this form is, to the best of my knowledge, true,
complete and accurate, knowing that, if employed, any false declaration or concealment of material facts may result in disciplinary action including
dismissal.

Place and Date Signature

PLEASE NOTE
Applications will not, as a general rule, be valid or retained by the Organization for more than one year from date of receipt. While you may rest assured that
your candidature will be carefully examined, receipt of this form will not be acknowledged, and any further correspondence will be initiated by the
Organization.

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